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SCN5A

Chr 3p22.2

sodium voltage-gated channel alpha subunit 5

Aliases:
Nav1.5, LQT3, HB1, HBBD, PFHB1
MANE:
ENST00000423572.7

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Brugada syndrome and cardiac sodium channel disease

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Dilated and arrhythmogenic cardiomyopathy

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Dilated Cardiomyopathy and conduction defects

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Fetal anomalies

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Long QT syndrome

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Paediatric or syndromic cardiomyopathy

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Progressive cardiac conduction disease

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Idiopathic ventricular fibrillation

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown

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Disease associations (Open Targets)

  • Brugada syndrome 1

    0.84
  • long QT syndrome 3

    0.84
  • progressive familial heart block, type 1A

    0.80
  • atrial fibrillation, familial, 10

    0.80
  • Brugada syndrome

    0.79
  • dilated cardiomyopathy 1E

    0.79
  • Familial progressive cardiac conduction defect

    0.79
  • cardiac arrhythmia

    0.79
  • sick sinus syndrome 1

    0.78
  • sudden infant death syndrome

    0.77

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Sodium channel protein type 5 subunit alpha

Pore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes (PubMed:33712541, PubMed:40768348). Navs, also called VGSCs (voltage-gated sodium channels) or VDSCs (voltage-dependent sodium channels), operate by switching between closed and open conformations depending on the voltage difference across the membrane. In the open conformation they allow Na(+) ions to selectively pass through the pore, along their electrochemical gradient (PubMed:33712541, PubMed:40768348). The influx of Na(+) ions provokes membrane depolarization, initiating the propagation of electrical signals throughout cells and tissues (PubMed:1309946, PubMed:21447824, PubMed:23085483, PubMed:23420830, PubMed:25370050, PubMed:26279430, PubMed:26392562, PubMed:26776555). Nav1.5 is the predominant sodium channel expressed in myocardial cells and it is responsible for the initial upstroke of the action potential in cardiac myocytes, thereby initiating the heartbeat (PubMed:11234013, PubMed:11804990, PubMed:12569159, PubMed:1309946). Required for normal electrical conduction including formation of the infranodal ventricular conduction system and normal action potential configuration, as a result of its interaction with XIRP2 (By similarity)

Curated MONDO disease pages that list SCN5A among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.